中国临床医学2018，Vol.25Issue(2)：226-229,4.DOI:10.12025/j.issn.1008-6358.2018.20160790
一站式杂交手术治疗冠状动脉三支血管病变近期疗效观察
Short-term curative effect of one-stop hybrid treatment for triple-vessel lesions of the coronary artery
钱松屹 1王凤林 1刘鹏 1叶志东 1王非 1林凡 1杨煜光 1樊雪强 1甄雅楠 1郑夏1
作者信息
- 1. 中日友好医院心脏·血管外科,北京 100029
- 折叠
摘要
Abstract
Objective:To evaluate the safety and effectiveness of one-stop hybrid therapy for triple-vessel coronary disease.Methods:Totally 34 patients with triple vessel coronary disease were treated by off-pump coronary artery bypass graft (OPCAB)combined with percutaneous coronary intervention(PCI)from Jan.2011 to Jun.2014.All 34 patients received PCI firstly,46 stents implanted in coronary arteries,and then OPCAB were performed,41 distal anastomosis were completed. Results:The one-stop hybrid procedure was successful in all patients.Selective coronary angiography immediately after one-stop hybrid procedure showed that grafts and stents were unobstructed.There was no death during the operation and perioperative period,no episodes of angina attack,no cardio-cerebrovascular events,no bleeding postoperatively and second exploratory thoracotomy.All patients remained free from angina,cardiac function improved significantly and no patient need medical intervention during the(36 ± 8)months follow-up period.Conclusions:One-stop hybrid cardiac surgery provides a reasonable,feasible,and safe alternative for treating patients with coronary artery triple-vessel lesions,and it has good prognosis.关键词
冠状动脉粥样硬化性心脏病/经皮冠脉介入治疗/非体外循环冠状动脉旁路移植术/杂交手术Key words
coronararterdisease/percutaneoucoronarintervention/off-pump coronararterbypasgrafting/hybrioperation分类
医药卫生引用本文复制引用
钱松屹,王凤林,刘鹏,叶志东,王非,林凡,杨煜光,樊雪强,甄雅楠,郑夏..一站式杂交手术治疗冠状动脉三支血管病变近期疗效观察[J].中国临床医学,2018,25(2):226-229,4.
